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NPI Code Detail

MEDICARE: COASTAL WOMEN'S MEDICAL

MEDICARE: COASTAL WOMEN'S MEDICAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1174453484
Entity Type Code : Organization
Provider Name (Legal Business Name) : COASTAL WOMEN'S MEDICAL
Provider Business Mailing Address
First Line : 200 WHITE RD STE 210
Second Line :
City : LITTLE SILVER
State : NJ
Zip : 07739-1162
Country : US
Telephone Number : 732-440-7550
Fax Number : 732-334-5937
Provider Business Practice Location Address
First Line : 200 WHITE RD STE 210
Second Line :
City : LITTLE SILVER
State : NJ
Zip : 07739-1162
Country : US
Telephone Number : 732-440-7550
Fax Number : 732-334-5937
Authorized Official
Title or Position : PHYSICIAN CEO
Name : MARYANN YEHL
Credential : DO
Telephone Number : 732-768-8849
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “COASTAL WOMEN'S MEDICAL ” Practice Location

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